Year 2021 / Volume 28 / Number 3

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Cilinical Note

Persistent hiccups after epidural injection of betamethasone: a case report

Rev. Soc. Esp. Dolor. 2021; 28(2): 169-171 / DOI: 10.20986/resed.2021.3914/2021

Fernando Vargas, Cristina Ramos, Alberto Fernández


ABSTRACT

Epidural analgesia by corticosteroid injection is a common procedure in pain units. Despite being a technique with a low rate of complications, the appearance of persistent hiccups after the intervention has been described. We present as a clinical case the first episode published in Spain and the sixth in the world of persistent hiccups due to betamethasone administered by epidural injection, accompanied by a summary of the definition of this entity and its aetiology, pathophysiology, management and incidence in patients treated with oral and epidural corticosteroids. Due to its duration, impact on quality of life and need for symptomatic treatment, it is considered the most severe case published to date.



RESUMEN

La analgesia epidural mediante inyección de corticoides es un procedimiento frecuente en las unidades de dolor. A pesar de ser una técnica con bajo índice de complicaciones, se ha descrito la aparición de hipo persistente tras la intervención. Se presenta como caso clínico el primer episodio publicado en España y sexto en el mundo de hipo persistente por betametasona administrada mediante inyección epidural, acompañado de una recapitulación sobre la definición de esta entidad y su etiología, fisiopatología, manejo e incidencia en pacientes a tratamiento con corticoides orales y epidurales. Debido a la duración, impacto en la calidad de vida y necesidad de tratamiento sintomático, se considera el caso más grave publicado hasta la fecha.





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Bibliografía

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Instrucciones para citar

Vargas F, Ramos C, Fernández A. Persistent hiccups after epidural injection of betamethasone: a case report. Rev Soc Esp Dolor 2021; 28(2): 169-171 / DOI: 1020986/resed20213914/2021


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Ficha Técnica

Recibido: 02/04/2021

Aceptado: 20/06/2021

Prepublicado: 30/06/2021

Publicado: 30/07/2021

Tiempo de revisión del artículo: 64 días

Tiempo de prepublicación: 89 días

Tiempo de edición del artículo: 119 días


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